The German Chancellor has held the top spot on the Forbes Most Powerful Women List for seven consecutive years, and 12 years in total. Another prominent political leader, UK Prime Minister Theresa May, ranked second. It is her first time appearing on Forbes’ annual list.

Melinda Gates, co-chair of the Bill and Melinda Gates Foundation, is the highest-ranking American woman, taking the third spot. Seven of the world’s 10 most powerful women are American, according to the Forbes list.

Of the 100 women on the list, nearly half are from the United States. Ivanka Trump, senior adviser to and daughter of President Donald Trump, made the list for the first time, debuting at 19. Democratic candidate in the 2016 US presidential election, Hilary Clinton, dropped 63 spots, from second to 65.

Scroll through to see the 10 most powerful women in the world right now.

6. Susan Wojcicki: CEO, YouTube, US

5. Mary Barra: CEO, General Motors, US

4. Sheryl Sandberg: COO, Facebook, US

3. Melinda Gates: Co-Chair, Bill & Melinda Gates Foundation, US

Jamie McCarthy/Getty Images for Bill & Melinda Gates Foundation

2. Theresa May: Prime Minister, UK

Photo by Leon Neal/Getty Images

LONDON, ENGLAND - JUNE 09, 2017: Prime Minister Theresa May speaks outside 10 Downing Street after returning from Buckingham Palace on June 9, 2017 in London, England. After a snap election was called by Prime Minister Theresa May the United Kingdom went to the polls yesterday. The closely fought election has failed to return a clear overall majority winner and a hung parliament has been declared.